Successful management of acute congestive heart failure by emergent caesarean section followed by adrenalectomy in a pregnant woman with cushing's syndrome-induced cardiomyopathy

Miku Sakota, Shunsuke Tatebe, Koichiro Sugimura, Tatsuo Aoki, Saori Yamamoto, Haruka Sato, Nobuhiro Kikuchi, Ryo Konno, Yosuke Terui, Kimio Satoh, Yuta Tezuka, Ryo Morimoto, Masatoshi Saito, Shimpei Kuniyoshi, Hiroaki Shimokawa

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Congestive heart failure (CHF) is rare during pregnancy. We herein report a 35-year-old woman who developed CHF with severe left ventricular dysfunction at 35 weeks' gestation. She underwent emergency Caesarean section followed by intensive-care treatment for CHF. The diagnosis of Cushing's syndrome (CS) caused by adrenal adenoma was confirmed by endocrinological examinations and histology after adrenalectomy. She was discharged on heart failure medications and glucocorticoid replacement therapy. Both the symptoms and cardiac function had recovered after 12 months of follow-up. This case highlights the importance of considering CS-induced cardiomyopathy as a cause of CHF in pregnant women.

Original languageEnglish
Pages (from-to)2819-2824
Number of pages6
JournalInternal Medicine
Volume58
Issue number19
DOIs
Publication statusPublished - 2019

Keywords

  • Adrenal adenoma
  • Congestive heart failure
  • Cushing's syndrome
  • Dilated cardiomyopathy
  • Emergency cesarean section
  • Pregnancy

ASJC Scopus subject areas

  • Internal Medicine

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